闽广之人。有于端午日午时捉虺蛇蜈蚣虾蟆三物同贮一器。任其自相食啖俟一物独存。
毒于饮食中啖之。少则待以岁月。食尽五脏而后死。死则流毒于旁人。亦成此病。多则数日
即死。其症心腹绞痛。如有虫咬。吐下恶血。如猪肝烂肉。若不早治。百无一生。此之谓蛊
病。一中毒不论年之远近。但取煮熟鸡子。插金银簪于内口含鸡子一食顷。簪卵俱黑者是毒。否则非也。
国中毒方 青木香(一两)水煎一碗空心吃之可吐。如不吐。至三服必吐。
不拘新久中毒方。雄黄 朱砂(各五钱研细) 藜芦(一钱○吃此药不可吃酒凡人参沙参
元参细辛赤白芍吃藜芦前后俱忌吃) 巴豆(去壳细皮及油用霜三分)共为末。蜜丸梧子大。
每服(五分)空心姜汤下。后当泻去恶物。如烦闷。吃生鸭血。或煮鸭汤饮之。即愈。
(亦名 瘕)
积者。五脏所生。其始发有常处。其痛不离其部上下有所终始。左右有所穷处。聚者六
府所成。其始发无根本。上下无所留止。其痛无常处 肝积名肥气在左胁下如覆杯 肺积名息奔
。在石胁下如覆杯。久则喘咳 心积名伏梁。起脐上大如臂。上至心下。久则令人烦心 脾
积名痞气。在胃脘。腹大如盘。久则饮食不能充肌肤 肾积名奔豚。(冲脉为病)发于少腹。
上至心。下若豚状。上下无时。久则喘逆。骨痿少气。
夫 者坚也。积在腹内。或肠胃之间。推之不动。名曰 瘕者假也。其结聚浮假而痛。
推移乃动。名曰瘕。 癖者。在腹内。近脐左右各有一条筋脉急痛。名曰 。僻在两肋之间。有
时而痛。名曰癖。若在小腹而牵引腰胁为疝瘕。
福建、广东一带的人,有的在端午节午时捕捉蝮蛇、蜈蚣、蛤蟆这三种动物,将它们放在同一个容器中,任凭它们互相吞食,直到剩下其中一种存活。将这种毒物混入饮食中让人食用,如果量少,受害者会拖延数月甚至数年,待五脏被侵蚀殆尽后才会死亡;死后毒素还会传染给旁人,使旁人也患上此病。如果量大,则几天内就会死亡。其症状表现为心腹部剧烈绞痛,感觉像有虫子在咬噬,呕吐和排泄出恶臭的血块,状如猪肝或腐烂的肉块。如果不及时治疗,几乎无人生还。这被称为蛊病。一旦中毒,无论时间长短,只需取一个煮熟的鸡蛋,将金银簪插入蛋中,让患者口含鸡蛋片刻,若簪子和鸡蛋都变黑,说明是中毒;否则就不是。
治疗国内中毒的方剂:青木香(一两),用水煎煮成一碗药汁,空腹服用,可以引起呕吐。如果未吐,连服三剂必定会吐出来。
治疗不论新旧中毒的方剂:雄黄、朱砂(各五钱,研成细粉)、藜芦(一钱○服用此药期间禁止饮酒,且人参、沙参、玄参、细辛、赤芍、白芍在服用藜芦前后均需忌口)、巴豆(去壳、去皮及油,制成巴豆霜三分)。以上药物共同研磨成粉末,用蜂蜜制成梧桐子大小的丸药。每次服用五分,空腹时用姜汤送服。服药后应当排出体内的污秽之物。如果出现烦闷症状,可吃生鸭血,或者喝煮鸭肉汤,即可痊愈。
(又名“瘕”)
积证,是由五脏病变产生的。它初发时有固定的部位,疼痛不离开其所在部位,上下有起止,左右有尽头。聚证,是由六腑病变形成的。它初发时没有根本,上下没有停留之处,疼痛位置不固定。肝之积名为肥气,位于左胁下,形状像倒扣的杯子。肺之积名为息奔,位于右胁下(注:原文“石胁”疑为“右胁”之误,此处依文意理解),形状像倒扣的杯子,日久会导致气喘咳嗽。心之积名为伏梁,起于脐上,粗如手臂,向上延伸至心下,日久使人心中烦乱。脾之积名为痞气,位于胃脘部,腹部胀大如盘,日久导致饮食无法滋养肌肤。肾之积名为奔豚(冲脉受病所致),发作于小腹,向上直达心胸,下行状如小猪奔跑,上下无常,日久导致气喘逆乱、骨骼痿弱、气息短少。
“积”字意为坚硬。积证在腹内,或在肠胃之间,推之不动,称为“积”。“瘕”字意为假象。其结聚浮泛虚假而疼痛,推移时会移动,称为“瘕”。“癖”证,在腹内,靠近肚脐左右各有一条筋脉拘急疼痛,称为“癖”。“僻”证在两肋之间,有时疼痛,称为“癖”。如果疼痛在小腹并牵引腰胁,则属于疝瘕范畴。
In the regions of Fujian and Guangdong, some people capture vipers (Hypnale hypnale), centipedes, and toads on the noon hour of the Dragon Boat Festival. These three creatures are stored together in a vessel, allowed to devour each other until only one survives. This survivor is mixed into food or drink for consumption. If the dose is small, the victim may survive for months or years, dying only after all five Zang organs have been exhausted; upon death, the toxin spreads to others, causing them to contract the same disease. If the dose is large, death occurs within a few days. The symptoms include severe cramping pain in the heart and abdomen, as if bitten by insects, accompanied by vomiting and purging of foul blood resembling pig liver or rotting meat. Without early treatment, survival is rare. This condition is called Gu Disease (蛊病). Regardless of how long ago the poisoning occurred, one can test for it by taking a boiled egg, inserting a silver or gold hairpin into it, and having the patient hold it in their mouth for the duration of a meal. If both the pin and the egg turn black, it indicates poisoning; otherwise, it does not.
Formula for treating domestic poisoning: Qingmuxiang (Aucklandiae Radix, 1 liang). Decoct in water to obtain one bowl. Take on an empty stomach to induce vomiting. If vomiting does not occur, take three doses; vomiting will definitely ensue.
Formula for treating poisoning regardless of whether it is new or old: Xionghuang (Realgar), Zhusha (Cinnabar) (each 5 qian, finely ground); Liliu (Veratri Rhizoma, 1 qian ○ Note: Alcohol must be avoided while taking this medicine, and Ginseng Radix et Rhizoma, Adenophorae Radix, Scrophulariae Radix, Asari Radix, Paeoniae Radix Rubra, and Paeoniae Radix Alba must be avoided before and after taking Liliu); Badou (Crotonis Fructus) (shelled, skin and oil removed, using Crotonis Fructus Frost, 3 fen). Grind all ingredients into powder and form pills the size of wutong seeds. Take 5 fen per dose, washed down with ginger decoction on an empty stomach. Afterward, foul matter should be purged. If restlessness occurs, consume raw duck blood or drink duck broth to recover.
(Also known as "Jia")
Ji (Accumulation) arises from disorders of the Five Zang organs. It originates at a fixed location, the pain remains within that area, has distinct upper and lower boundaries, and left and right limits. Ju (Gathering) results from disorders of the Six Fu organs. It has no fixed root, moves freely without staying in one place, and the pain occurs at irregular locations.
The accumulation of the Liver is named Feiqi (Fat Qi), located under the left hypochondrium, shaped like an inverted cup.
The accumulation of the Lung is named Xiben (Breath Rush), located under the right hypochondrium, shaped like an inverted cup; over time, it leads to asthma and coughing.
The accumulation of the Heart is named Fuliang (Hidden Beam), starting above the umbilicus, thick as an arm, extending upward to below the heart; over time, it causes mental restlessness.
The accumulation of the Spleen is named Piqi (Stagnant Qi), located in the epigastrium, with the abdomen distended like a plate; over time, it prevents food from nourishing the muscles and flesh.
The accumulation of the Kidney is named Bentun (Running Piglet) (caused by disorder of the Chong Mai/Conception Vessel collateral system). It originates in the lower abdomen, rises to the heart, and descends resembling a running piglet; its movement is unpredictable. Over time, it leads to asthma, qi rebellion, bone萎 (withering/weakness), and shortness of breath.
"Ji" (Accumulation) implies hardness. Accumulations are inside the abdomen, either between the intestines and stomach; they cannot be moved by pushing, hence called Ji. "Jia" (Mass) implies falseness. Its aggregation is floating and false, causing pain, but it moves when pushed, hence called Jia. "Pi" (Tumor/Nodule) is inside the abdomen, with a tendon-like structure near the umbilicus on either side causing acute pain, called Pi. "Pi" (Deviation/Side) is between the two hypochondria, causing intermittent pain, also called Pi. If the pain is in the lower abdomen and radiates to the waist and hypochondria, it falls under the category of Shan-Jia (Hernia-Mass).